NPI | 1215283783 |
---|---|
Former Name | DENISE MICHELLE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9237475) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1215283783) |
Enumeration Date | 2012-08-01 |
Last Update Date | 2024-03-28 |